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Nationwide rates for HCPCS L5975

All lower extremity prostheses, combination single axis ankle and flexible keel foot

Facilitymedian $417 · 10th–90th $240–$1,2590%20%10th90th$417Professionalmedian $302 · 10th–90th $240–$5620%20%40%10th90th$302$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $288.40 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $288.40 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $309.03 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $302.00 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $281.84 / $489.78

See more rates by state

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